Computer-assisted cognitive rehabilitation of chronic psychiatric inpatients

Abstract Patients with chronic psychiatric disorders have been found to have significant cognitive deficits. This study examined the effectiveness of computer-assisted cognitive rehabilitation on 69 inpatients diagnosed with psychotic disorders at a V.A. Medical Center. The treatment group (N = 40) showed significant improvement on most memory subtests of the Wechsler Memory Scale, as well as on the Trailmaking Test (Parts A and B), and reported significantly fewer cognitive complaints. Control subjects (N = 29) showed no changes on these variables. These results indicate that psychiatric patients can productively work with computers, and that computer-assisted cognitive rehabilitation can produce short-term improvements in psychiatric inpatients' cognitive performance.

[1]  B. Spring,et al.  Cognitive remediation in schizophrenia: should we attempt it? , 1992, Schizophrenia bulletin.

[2]  A. O. Williams,et al.  Schizophrenia with Good and Poor Outcome , 1985, British Journal of Psychiatry.

[3]  J. Askenasy,et al.  Neuropsycho-social rehabilitation of head injury. , 1988, American journal of physical medicine.

[4]  R. Liberman,et al.  Whither cognitive-behavioral therapy for schizophrenia? , 1992, Schizophrenia bulletin.

[5]  R. Dworkin,et al.  Positive and negative schizophrenic symptoms, attention, and information processing. , 1985, Schizophrenia bulletin.

[6]  P. Liddle Schizophrenic syndromes, cognitive performance and neurological dysfunction , 1987, Psychological Medicine.

[7]  J. Sweet,et al.  Identification of brain-damaged, schizophrenic, and normal medical patients using a brief neuropsychological screening battery , 1985 .

[8]  R C Erickson,et al.  Cognitive deficits among functionally psychotic patients: a rehabilitative perspective. , 1986, Journal of clinical and experimental neuropsychology.

[9]  P. Corrigan,et al.  Treatment of cognitive dysfunctions and behavioral deficits in schizophrenia. , 1992, Schizophrenia bulletin.

[10]  W. Spaulding,et al.  Applications of experimental psychopathology in psychiatric rehabilitation. , 1986, Schizophrenia bulletin.

[11]  D. Gloag Rehabilitation after head injury--1: Cognitive problems. , 1985, British medical journal.

[12]  D. Meichenbaum,et al.  Training schizophrenics to talk to themselves: A means of developing attentional controls , 1973 .

[13]  A. Bellack Cognitive rehabilitation for schizophrenia: is it possible? Is it necessary? , 1992, Schizophrenia bulletin.

[14]  E. Russell Renorming Russell's version of the Wechsler Memory Scale. , 1988, Journal of clinical and experimental neuropsychology.

[15]  D. Meichenbaum Effects of social reinforcement on the level of abstraction in schizophrenics. , 1966, Journal of abnormal psychology.

[16]  Robert Paul Liberman Psychiatric rehabilitation of the chronic mental patients , 1988 .

[17]  E. Robins,et al.  Research diagnostic criteria: rationale and reliability. , 1978, Archives of general psychiatry.

[18]  D. Meichenbaum The effects of instructions and reinforcement on thinking and language behavior of schizophrenics. , 1969, Behaviour research and therapy.

[19]  R. Bilder,et al.  Symptomatic and neuropsychological components of defect states. , 1985, Schizophrenia bulletin.

[20]  E. Robins,et al.  Research diagnostic criteria. , 1975, Psychopharmacology bulletin.

[21]  H Niemann,et al.  Computer-assisted attention retraining in head-injured individuals: a controlled efficacy study of an outpatient program. , 1990, Journal of consulting and clinical psychology.

[22]  B. Bloom,et al.  Computer-assisted psychological intervention: A review and commentary , 1992 .

[23]  Philip C. Burda,et al.  Computer administered treatment of psychiatric inpatients , 1991 .

[24]  M. Ron,et al.  The brain in schizophrenia. , 1990, Journal of neurology, neurosurgery, and psychiatry.